Assess health management needs of a specified panel of members
Identify the right clinical intervention for each member
Manage an active case load of members enrolled in case management
Conduct outreach to members enrolled in case management including developing care plans
Monitor, improve and maintain quality outcomes for the specified panel of members

High School Diploma/GED required
7 years of any combination of clinical, case management and/or disease/condition management experience
Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) or WV or DE or NY is required
Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT) preferred
Experience working with the healthcare needs of diverse populations

Complex Case Manager, RN – Maternity

Key skills